Utility Auto Pay Authorization

TOWN OF LYONS

Utility Billing

Direct Payment Authorization Form

 

 

The Town of Lyons is offering a new service – the Direct Payment Plan for utility bills. Now you can have your payment deducted automatically from your checking or savings account, and you won’t have to change your present banking relationship to take advantage of this service.

 

The Direct Payment Plan will help you in many ways:

 

      It saves time – fewer checks to write and mail

      Helps pay your bills in a convenient and timely manner – even if you are out of town or on vacation

      Your payment is always on time – it helps maintain good credit

      It saves postage

      It is easy to sign up for, easy to cancel

 

Here’s how the Direct Payment Plan Works:

You authorize regularly scheduled payments to be made from your checking or savings account. Then sit back and relax. Your payments will be made automatically on the specified day. And proof of your payment will appear on both your bill as well as the statement you receive from your bank.

 

** THE FULL ACCOUNT BALANCE DUE WILL BE WITHDRAWN AUTOMATICALLY AT TIME OF PAYMENT.

**IF YOU HAVE MULTIPLE ACCOUNTS, A SEPARATE FORM NEEDS TO BE FILLED OUT FOR EACH ACCOUNT.

 

 

The authority you give to charge your account will remain in effect until you notify us in writing to terminate the authorization. You will receive notice of your utility charges at least 10 days before the payment date so you always know how much your account will be debited. The Direct Payment Plan is dependable, flexible, convenient and easy. To take advantage of this service, complete the attached authorization form and return it to us.

 

All you need to do is:

 

  1. Indicate whether your payment will be made from your checking or savings account.
  2. Fill in your name, financial institution name and location, and date.
  3. Attach a voided check for verification of all financial institution information. If you are unable to attach a voided check, please fill in your account number and routing number.

 

**Once your authorization form is received, please allow 2 billing cycles for Direct Payment to take effect. Thank you

 

BE SURE TO SIGN THE FORM!

TOWN OF LYONS

Utility Billing

Direct Payment Authorization Form